| Center For Pediatric Dentistry, L.l.c. | |
|
2571 S Val Vista Dr Ste 101 Gilbert AZ 85295-6233 | |
| (480) 597-5536 | |
| (480) 597-5624 |
| Full Name | Center For Pediatric Dentistry, L.l.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2571 S Val Vista Dr Ste 101, Gilbert, Arizona |
| Authorized Official Name and Position | Karla Abdoll (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 4805975536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Pediatric Dentistry, L.l.c. 2571 S Val Vista Dr Ste 101 Gilbert AZ 85295-6233 Ph: (480) 597-5536 | Center For Pediatric Dentistry, L.l.c. 2571 S Val Vista Dr Ste 101 Gilbert AZ 85295-6233 Ph: (480) 597-5536 |
| NPI Number | 1689875791 |
|---|---|
| Provider Enumeration Date | 05/29/2007 |
| Last Update Date | 01/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689875791 | NPI | - | NPPES |
| 590291 | Other | AZ | AHCCCS ID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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